Evidence map›Paper›PMID 33129862›Full record

ReviewEnvironmental research2021

The urban lead (Pb) burden in humans, animals and the natural environment.

Ronnie Levin, Carolina L Zilli Vieira, Marieke H Rosenbaum, Karyn Bischoff, Daniel C Mordarski, Mary Jean Brown

Open access · greenAbstract readReview
In one paragraph

Review in Environmental research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 pooled it
30.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 237 citations in OpenAlex.

  1. Pooled it
  2. Effects of Forest-Based Interventions on Mental Health: A Meta-Analysis of Randomized Controlled Trials.International journal of environmental research and public health · 2022
    Pooled it
  3. Industrial effluent-derivedApplied and environmental microbiology · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Associations Between Perceived Tap Water Safety and Dietary Outcomes Among US Adults.Journal of the Academy of Nutrition and Dietetics · 2026
    Article
  9. Article
  10. Evidence for Genotype-Specific Optimal Blood Lead Levels for Cancer Risk:International journal of molecular sciences · 2026
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

5 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Ronnie LevinDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, 02215, USA. Electronic address: rblevin@hsph.harvard.edu.
Carolina L Zilli VieiraDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, 02215, USA. Electronic address: cazilli@hsph.harvard.edu.
Marieke H RosenbaumDepartment of Infectious Disease and Global Health, Cummings School of Veterinary Medicine at Tufts University, North Grafton, MA, 01536, USA. Electronic address: marieke.rosenbaum@tufts.edu.
Karyn BischoffNew York State Animal Health Diagnostic Center, Ithaca, NY, 14853, USA. Electronic address: klb72@cornell.edu.
Daniel C MordarskiWachusett Animal Hospital and Pet Retreat, Westminster, MA, 01473, USA. Electronic address: dan.mordarski@gmail.com.
Mary Jean BrownDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, MA, 02215, USA. Electronic address: mjb686@outlook.com.
Harvard University · USAnimal Welfare Institute · USCornell University · USTufts University · US

Funding

CTSA Institutional Mentored Career Development Program (KL2)KL2TR002545 · NCATS · TUFTS UNIVERSITY BOSTON · PI FREUND, KAREN · 2018 to 2022
$5.0M
NCATS NIH HHS KL2 TR002545
6 · The paper itself

Abstract

Centuries of human activities, particularly housing and transportation practices from the late 19th century through the 1980's, dispersed hundreds of millions of tons of lead into our urban areas. The urban lead burden is evident among humans, wild and domesticated animals, and plants. Animal lead exposures closely mirror and often exceed the lead exposure patterns of their human partners. Some examples: Pigeons in New York City neighborhoods mimicked the lead exposures of neighborhood children, with more contaminated areas associated with higher exposures in both species. Also, immediately following the lead in drinking water crisis in Flint MI in 2015, blood lead levels in pet dogs in Flint were 4 times higher than in surrounding towns. And combining lead's neurotoxicity with urban stress results in well-characterized aggressive behaviors across multiple species. Lead pollution is not distributed evenly across urban areas. Although average US pediatric lead exposures have declined by 90% since the 1970s, there remain well defined neighborhoods where children continue to have toxic lead exposures; animals are poisoned there, too. Those neighborhoods tend to have disproportionate commercial and industrial lead activity; a history of dense traffic; older and deteriorating housing; past and operating landfills, dumps and hazardous waste sites; and often lead contaminated drinking water. The population there tends to be low income and minority. Urban wild and domesticated animals bear that same lead burden. Soil, buildings, dust and even trees constitute huge lead repositories throughout urban areas. Until and unless we begin to address the lead repositories in our cities, the urban lead burden will continue to impose enormous costs distributed disproportionately across the domains of the natural environment. Evidence-based research has shown the efficacy and cost-effectiveness of some US public policies to prevent or reduce these exposures. We end with a series of recommendations to manage lead-safe urban environments.

Indexed as

Environmental PollutionLeadAnimalsChildCitiesDogsEnvironmentEnvironmental ExposureHumansNew York CityLeadEnvironmental justiceLeadOne healthUrban environmental policyUrban exposures

Identifiers

PMID33129862
PMCPMC8812512
OpenAlexW3095455233

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.